Healthcare Provider Details

I. General information

NPI: 1851163794
Provider Name (Legal Business Name): MOVING WITH INTENTIONS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1511 4TH AVE N
BESSEMER AL
35020-5764
US

IV. Provider business mailing address

1511 4TH AVE N
BESSEMER AL
35020-5764
US

V. Phone/Fax

Practice location:
  • Phone: 334-717-6151
  • Fax:
Mailing address:
  • Phone: 205-847-6644
  • Fax: 205-251-0336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: LATONYA R BISHOP BERNARD
Title or Position: OWNER/MANAGER
Credential:
Phone: 205-847-6644